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Organization Information (to be displayed online)
Organization Name *
Address 1 *
Address 2
City *
State *
Zip *
Phone *
Fax
Website
Email *
Main Contact
First Name *
Last Name *
Address 1 *
Address 2
City *
State *
Zip *
Title
Phone *
Email *
Additional Contacts
Billing Address (if different)
Street
City
State
Zip
Mailing Address (if different)
Street
City
State
Zip
Additional Information
Business Description
To be used for your online business listing
I prefer mail. Please do not email or fax me information related to my membership.
I would like to be contacted about purchasing advertising in the Business Directory.
I would like to be contacted about purchasing advertising in the Travel Guide (restrictions apply).
I would like assistance in obtaining affordable health insurance.
I would like to offer a Member-to-Member discount. Please contact me for details.
Membership Investment
Membership Type: *
Primary Directory Category *
Additional Directory Categories
  • Primary Directory listing is complimentary
  • Choose one additional Directory listings for $50
**Hold CTRL on your keyboard to select multiple categories**
Number of Full Time Employees:  
Number of Part Time Employees:  

Additional Flex Options:
New for 2017!! Marketing materials included in all Welcome to Wyoming County new resident packets (Company provides materials to be included) - $50 for the year
E-Blast sent through Constant Contact emails are sent two times, if time allows, to more than 1,000 email addresses) - $50
Additional Category Listing in Chamber Directory & on Chamber Website - $50/listing
Business Anniversary/Milestone Promotion in Newsletter - $50
Ready-to-Use Membership Mailing Labels - $100
Annual Sponsorship Events:
Pride of Wyoming County Ag Dinner:
Presenting Sponsor ($1000)
Event Sponsor ($150)
Annual Awards Reception:
Presenting Sponsor ($1000)
Event Sponsor ($100)
Agri-Palooza - Held in June:
Presenting Sponsor ($1,500)
Hat Sponsor ($500) T-Shirt Sponsor ($250)
Event Sponsor ($100)

   
$ 
Total: $ 

The contents of this box are for testing purposes. This box will be removed when the form goes live.
Full-Time Employees
Part-Time Employees
Hotel/Motel Rooms
Restaurant Seats
Additional Associates
Additional Associates Cost
Additional Locations
Additional Locations Cost
AdditionalCategories
Additional Categories Cost
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Annual Dues (charged to card)
Tax (charged to card)
Fee (charged to card)
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Number of Rooms (Accommodations):  
Number of Seats (Restaurants):  
Number of Associates (Realtors, Attorneys):  
Number of Locations ($35/add. location):  
*
NOTE: If paying by Check. Please fill out PDF and mail to : Wyoming County Chamber of Commerce | 36 Center Street, Suite A - Warsaw, NY 14569
Credit Card Information
Credit Card Type *
Credit Card Number * 
Name On Card
Security Code
Valid Through
Credit Card Address 1
Credit Card City
Credit Card State
Credit Card Zip
Credit Card Phone Number
Credit Card Email Address
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